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HomeMy WebLinkAbout0151 WIANNO AVENUE - Health 151 Wiann0 AveoG{e _ Osterville +'i A=.140,053 TOWN OF BARNSTABLE LOCATION/S/ //�.//�,c/r /�ye SEWAGE# 2p/O— 3?O VILLAGE ASSESSOR'S MAP&PARCEL /Y6 1 o,S.3 INSTALLER'S NAME&PHONE NO. //QCG��Sjc� 57ie-Y -S'sa� SEPTIC TANK CAPACITY /Sd6 691 —oZ/U LEACHING FACILITY:(type) (a9�!' h.QJ Czf (size) 13If NO.OF BEDROOMS 5 oZ OWNER !,9 tirc,—� C+-C l PERMIT DATE: C1-02-/D COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY `� ..tea x�..- Rj • °A� �� h i 1 I I nl o \I 1 a � i • - �.. -t,-�y , _�§fit- ..- No.�(�/O ^3 ( Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Dioo!5al *proem Congtructiou Vertu Application for a Permit to Construct(/- Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. IS 1 ®NtcO ner's Name,Addre s,and Tel.No. Assessor's Map/Parcel lSl W /y(3--G Installer's Name,Address,and Tel.No.((� Designer's Name,Address and Tel.No. ` 54,= C , Q n�alvv_ Type of Building: Dwelling No.of Bedrooms Lot Size 17/Sy d sq.ft. Garbage Grinder (AA Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) JS� gpd Design flow provided � gpd Plan Date NxA ?\tZ0(o Number of sheets Revision Date i`- Title 5 � ycw AJ 5ephz5�7�� Size of Septic Tank 15-ked Type of S.A.S. �f�C a 6cx1��A (tto"Ay( Description of Soil O—y; caheN B (A\kSk CON-- SAGO Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not ace the system in operation until a Certificate of Compliance has been issued by this Board of Healt Signed Date - IL Application Approved by Date ?i�/ Application Disapproved Date for the following reasons Permit No. 20,-0 3 76 Date Issued I ...,do- �'. � = _ 4, •d '.''r"�+.•.,�_ - .- -`. '. - ! "�.`"�� No.Z / C� �' c+ Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in comlp�fer. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ' ZIPPI-frattou for Digb l 6pgtem Con5tructton permit Application for a Permit to Construct�-<Repairs( ) Upgrade O Abandon( ) Complete System ❑Individual Components Location Address or Lot No. IS1 kA1;r.»yro NVr i O ner's Name,Addre s,and Tel.No. Assessor's Map/Parcel I Tt ITV-vS ���Crv�1 0 G Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. - Type of Building: Dwelling No.of Bedrooms Lot Size f7f Sy Cti sq. ft. Garbage Grinder VP Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) gpd Design flow provided (D- gpd Plan Date -2 pZ0 tV Number of sheets Revision Date, + Title ��+� i(dKed SC'O�IL S 3a� Size of Septic Tank SoO Type of S.A.S. Description of Soil 3�_ )�T()�d O'��, C(JOVN 1S-33� -6 CA�� lov V13 (oAmy SP►�O L CO,-g2 zM ! (4 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5-6f the Environmental Code and not o p'Pace the system in operation until a Certificate of Compliance has been issued by this Board of Health. j. • Signed/ Datefi /U f Application Approved by G Date �Z%z� Application Disapproved by: Date for the following reasons Permit No. 20/b 3 Yo, Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site^^Sew � e� �Disposal System Constructed ( ' Repaired ( ) Upgraded ( ) Abandoned( )by Sllcec i c cc,- f/. at 1 YtSrita Kte__ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 010— 3--?J dated 9A / Installer JjyL CC. H01cc-11I/�? Designer Su/bC/i9 ��� (,,1crf,it #bedrooms Approved design flat gpd The issuance of this permit shall not be construed as a guarantee that the system ,ill at'on as de geed. �f - Date 1 10 Inspector -- No. � t `-` Fee Ci THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DI`'ISION — BARNSTABLE, MASSACHUSETTS Tkooml 6pgtem Cowaructton Permit Permission is hereby granted to Construct (� Repair ( ) Upgrade ( ) Abandon ( ) System located at 1'5� (,JAV\v\lt tVQ— and as described in the above Application for Disposal System Construction Permit.The ap icant r ognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this ermit. Date /?�/0 Approved by 1. Town of Barnstable Regaktory SerAces Them=F.Geiier,Director :� Public H. ealtb D ivisi®sI Thomas McKean.Director- 200 Main Stt eey Hyamn*IMA 0260, Offim- 508-5624b44 FaX 508-790-6304 Itastaller 8e Des s<n Cea�tffir�ttioa Forma Date: SF _28d0/oSewage Permit# 120r0-31Y0 Assessor's►�Iaplt'arced /L/O OS3 Designer: S A�t u, vx t A e er4q Instatier- 3r­1c e h GLCCL Address: /�D :30 x .659 Adam• R ) ..n( c�i 067/ervr Ile. ILIA.oa 6s5- -- ©b le1`va(c 6\ A. On -SffT o2 -a Olc�) : Aer,cc /ycLc��.%� was issued a p e (date) (installer) rmat to install a septic system at_/S-1 based on a desi n dra wr byr aye- (address) dated v -3/ 10/D (deslsWer) —` ft certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box andior septic tank. I certify that,the septic system referenced above was installed with major changes (i.e• greater than 10' lateral relocation of the SAS or any vertical relocations of any component of the septic system) but in accordance with State& Local Reguiations. Plan revision or certified as-built by desiganer to follow. H OF AMIq o� JOHN C. yGJ g ODEA CIVIL (installer's Signature_) No.48168 A9p��FGI SWER /ONAL (Designer's Signature) (Affi:s Designers Stamp Here) PLEASE RETURN TO !AW_5T LE UBI.IC HI: Tip DIVISION. CE CATE OF CQMJeLMC WILL NdT BE ISSUED A A ® 0 ILT ?+RD A ItECEIVED.BY'I'II3�BA12.N5TABl E€'E?B_1C HKMTH DIVISION. TFI. YOU Q:HegidUSepticMesigner Cartiftcation Form 3-26.0—doc I Town of Barnstable P# 13630 Department.of Regulatory Services i Public Health Division' Date o, .' 200 Main Street Hyannis MA 02601 ..art• ' r Date Scheduled 7' ° Time ''I - Fee Pd.. U Soil Suitability Assessment fora Sewage Disposal Performed By: 50 w, 1cleer"On, r_ C . Witnessed By: LOCATION&GENERAL INFORMATION Location Address �� �7 G�r D �� Owner's Name pkl/ , 1 OS Address 151 Gel ie r,n D �e 5 G:4-ey'vi"!1 -, �44 t9 oa Assessor's Map/Pazcel: �� M Engineer's Named 111fLt 17.'L/ �hC NEW CONSTRUCTION '✓ REPAIR: Telephone# � 33 q Land Use Slopes(%)a 0-3%r) Surface Stones A(\Q. ' ctt Distances from' Open Water a Body 106 , ft q Possible Wet Area 160 ft Drinking Water Well S6t ft r A, Drainage Way ft Property Line J ft Other N i ft SKETCH:(Street name,dimensions of lot,'ezact locations of test holes&perc tests,locate wetlands in proximity to holes) _ 000--A YR 4 I t . A , Parent material(geologic) 3 i A t Depth'to Bedrock 36 Depth to Groundwater: Standing Water in Hole:' /"o _` Weeping from Pit Face Estimated Seasonal High Groundwater 3� i '� � ��toA Y. Cora-+�15 1 DETERMINATION FOR SEASONAL AlGH WATER TABLE Method Used N4- � R ' Depth Observed standing in obs.hole: in. Depth to soil mottles. in: Depth to weeping from side of obs.hole: in: Groundwater Adjustment ft Index Well# Reading Date. Index Well'level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST r Holerva6on Z. LI Time at 9" Depth of Perc. Li S I � j Time at 6" Start Pre-soak Time Q Z �Itr r Time(9"_-6") End Presoak Rate Min./Inch Site Suitability Assessment. Site Passed Site Failed: " Additional Testing Needed(Y/N) .s Original: Public Health Division %; Observation Hole Data To Be Completed on Back--- ---- ***If percolation test is to be conducted within 1009 of wetland,you must first notify the Barnstable Conservation Divisions at least one(1)week prior to beginning. - Q:\SEPTIC\PERCFORM.DOC i i . i } DEEP OBSERVATION HOLE LOG Hole#: Depth from Soil Horizon 'Soil Texture Soil Color- Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.' Consistency.%Gravel) `i L(SPr� DEEP OBSERVATION HOI:E LOG Hole# 'Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency:%Graven h-)3� 37 Depth from DEEP OBSERVATION HOLE LOG. Sod Horizon Soil Texture Soil Color Soil Other . Surface(m.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 73-152' 4 ' Z-(Zo i I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil er Surface(in.) (USDA)' (Munsell) Mottling (Structure;Stones,Boulders. Consistency.%Graven O711r cl ' r - f I Flood Insurance Rate-Man: Above 560 year flood boundary No I Yes Within 500 year.boundary No Yes within 100 year flood boundary No Yes i Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perLious material exist in all areas observed throughout the area proposed for the soil absorption'system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on „ (date)I have p sed the soil evaluator,examination approved by the, Department of Env onmental)irotechoanalysis p '6 n and thtthe above was performed by me consistent.with ir the required training,a er'tise 6d experience d,�-scribed in 310 CMR 15.017. j Signature Date . i Q:\SEPTIC\PERCFORM.DOC Commonwealth of Massachusetts W Title. 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Citylrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. j Important: A. General Information When filling out forms to the r I computer,use 1. Inspector: vIV only the tab key ; to move your iRobert Paolini use the return urn cursor- not Name of Inspector key. Capewide Enterprises,LLC. Company Name P.O.Box 763 ..a. Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails. J o"= ❑ Needs Further Evaluation by the Local Approving Authority 7/1/2010 as y Ins ctor's Signatur Date W "T' The system inspector shall submit a copy of this inspection report to the Approving Authority(Boa d of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or' has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection andtunder the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. i t5ins•09/08 Title.5 Official Inspection Form:Subsurface Sawa a Disposal System•Page 1 of 17 Commonwealth of Massachu setts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts H - Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 151 Wianno Ave. Property Address Patricia Gavel Owner Owners Name information is required for Osterville Ma. 02655 7/1/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than.'/day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M ,•' 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. " t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® El information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4M 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2008:107,000 g ( y g (gp ))' 2009:40,000 Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 7/1/2009 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts u 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M ,•''y 151 Wianno Ave. Property Address Patricia Gavel Owner Owners Name information is required for Osterville Ma. 02655 7/1/2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1969 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4'feet Material of construction: ® cast iron ❑ 40 PVC ® other(explain): Orangeberg Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 161 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type. ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 main 1 overflow Depth—top of liquid to inlet invert to invert Depth of solids layer 6" 4" Depth of scum layer 3" 0" Dimensions of cesspool 6'x8' Materials of construction Concrete Block Indication of groundwater inflow ❑ Yes ® No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Sandy soil.System is in hydraulic failure.System was full at time of inspection. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Wianno Ave. Property Address Patricia.Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately 'N 7 O JON t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of CP 25' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Wianno Ave. Property Address Patricia Gavel Owner Owner's Name information is required for Osterville Ma. 02655 7/1/2010 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4 M 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information -A 1. Inspector: �� L Frank Nunes III Name of Inspector saa. Company Name Box 841 Company Address East Falmouth MA 02536 City/town State Zip Code 508.272.6433 Telephone Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: c ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority_ 9/27114 Insp rs Signat Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ***"This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 1 N 151 Wianno Ave•03/08 Title 5 Offiaal Ins i n orm:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts a v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Pumping suggested every 3 yrs to prolong the life of the system B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: n/a ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed 151 wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: n/a C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 151 Wianno Ave•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 CityrFown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑• ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ -the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—.IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. - - Property Address Pinard Owners Name Osterville MA 02655 9/27/14 Citylrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the.previous two week period? ® ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or-dwelling inspected for signs of sewage back up? E ❑ Was the site inspected for signs of break out? ® ❑ . Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 5 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commerciallindustrial Flow Conditions: Type of Establishment: n/a Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): n/a 151 Wianno Ave-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: No recent pumping per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other.(describe): Approximate age of all components, date installed (if known) and source of information: 2010 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9127/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 18„feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10'feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1211 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) H-20 tank, outlet cover raised to 4"of grade If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 1500g Sludge depth: trace-1/2" Distance from top of sludge to bottom of outlet tee or baffle >12' Scum thickness trace Distance from top of scum to top of outlet tee or baffle >2„ Distance from bottom of scum to bottom of outlet tee or baffle >2" How were dimensions determined? Measured 151 Wianno Ave-03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 City[Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): n/a Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): n/a 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official ;,Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): n/a *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box is in excellent condition, cover to 12"of grade Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 4 500g ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS was probed and soils are compact and dry, no indication of past backup 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): n/a 151 Wianno Ave•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 151 Wianno Ave. Property Address Pinard Owner's Name Osterville MA 02655 9/27/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. I a� a � L(C)" ql� C \-tii S Ec'<<oA' 151 Wianno Ave•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Ir I - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Wianno Ave. Property Address Pinard Owners Name Osterville MA 02655 9/27/14 Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground >12'water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date NGW 144" Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: see above 151 Wianno Ave•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 Y „- 24'-0' 24_0. S T-0" 10'-0" 7'4)' 2'-0" 20'-0" 2•-0" l (SHED DORMER) rT r-9- 2'-9- T-3` � A4 ANDERSEN ANDERSEN A251 A251 ANDERSEN ANDERSEN ANDERSEN TW24310 TW24310 TW24310 I • -Iy� ..L": CONC. 9'_4' < APRON o q' s GARAGE 3'0'x6'6' I 1�AMSRE)eM 3 —J QTRVTG'Tr0�7rv1 L m i4N ix _4m ANDERSEN ANDERSEN 00 a' 4 TW2442 4 O TW2442 R O LL aV S - 0 a 3'0•x 6'6' 0 x SLOPED r CEILING —� r-r-r-r-T--I— I HALF WALL I I I I I I I p .O _ DN 4t> 0 ANDERSEN A A251 WOOD OR MASONRY PLATFORM - - A4 ANDERSEN NDERSEN ANDERSEN A TW24310 24.3 0 TW24310 A4 TEMPERED MPERED TEMPERED 14'-10' 2'-2' r-9' 2'-9• T-3' 24'-0' r-0' 2V-0• 2'1- (SHED DORMER) - FIRST FLOOR PLAN' 2<-0' NOTES: . _ 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS SECOND FLOOR PLAN &DIMENSIONS N THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRST FLOOR TO BE 6'-10"ABOVE SUBFLOOR IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION - STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE W - UFACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE - 5.) 110 MPH EXPOSURE B WIND ZONE os0 AMMEND. 0.55 4s 20m17.s 30 15/1e 10(4FT.DEEP) 1W19 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, NOTES OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 7•) ALL LVL LUMBER/BEAMS TO BE 1.9e L/360 LOAD 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY CAPESURV FOR ALL 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS PROPOSED&EXISTING DETAILS 4.13+5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL &R13 CAVITY INSULATION SIMPSON COMPONENTS 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS I TO BE 3000 PSI AT 28 DAYS Os SMOKE DETECTOR 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE ©CARBON MONOXIDE DETECTOR DURING FRAMING CONSTRUCTION (a HEAT DETECTOR 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE,900 PSI MIN. 13.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE 14.)ALL WINDOW AND DOOR HEADERS 4'0"OR LESS TO BE 3-2 x 8 W/2K,2J THE ERRORS RO SSIONSA OTIFIED EFOUNIFANV SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW DETACHED GARAGE FOR; ERRORSO TION.TIONSAAEFGUNDON THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD WU.BE ESPONSIBLEFORITHECONTNGCONTIMACTOR 1/4" - 1'-0" MASHPEE MA. 02649 CALLAHAN RESIDENCE DC MENCES-THOUT NOTIFYING THE ESIN GNEDRAW NGS IF C ERRORS ORSOR OMISSIONS. — THESE DRAWINGS ARE SOLELY FORTH USE PH. (508 274-1166 OF THE OWNERER OF NOTED SOTHERSIONS. DATE TH THE OWNER NOTED.ANY OTHER USE OF THESE DRAWINGS REQUIRES THE WRITTEN FAX(50 ) 539-9402 151 WIAN.NO AVENUE OSTERVILLE, MA DESIGNER PROTECTION 12/3/2018 Al ARCHITECTURAL COPYRIGHT PROTECTION ad Ord 'ed..: ud ... : 164 ed ra rd -Rd 4,7e ad ad .: rd rd Yd r4r rd .. e-0' ..r-r r415C r-W lad led -J." ANDERSEN I-ANDERSEN II Tv m+o Te0118 Tvam e I. I PADOn I I PANEL $ rd.' d: 1ad '. .. fd ... .. .. I � _� BEDROOM I M II I _ . . CLOS. T I A - I I WTI VC. A5 I. .. re ow a.. - NEW ,Fold -. OUrDr000ONOVAaWHITE� D REMOD: ;; ;.er I e' MASTER NEW:. o. BEDROOM I I -. I A LOFT uc O AM MneAee�$ '""" Mm. o r - BE twAw�M r-to Ur \ _ GR II. .. .. rot, NEW $ L: ca+w C ;; L-----:-i C BATH b 9 NEW EW A USE! F to B au� �. NEW 'i TP Y. ANDERSM YO ANoaeer ��"° I .I '1j PA 10 ---- '�A , t a NEW I ,,,, . $ STUDIO � � C I 4� $: I_:SD� eo oerAu OFFICE�q bb , 66 .. 7CT __------ iM- ._ MASTaYee NEW BATS SROOM 'sT;,;LLLL ' � iur c°"q A..: 1.. b L --.al v Yee re� ,PORNr .RELOCATED L LUJ o . I ... .::':.: :: .... .. _ ©.. .. eNgyEp- L�:ems fWdle of .. .. .. .. AO®!r BEDROOM --------- - - - . I Ao®e .. AN09te91 .. .. a�a .. ---- ---- - .. - - - - OEM d 71E7dA71,1 Me19iSSI1 ' PING -,I I PMUi PGAMR1n�j $ I I .. f- —— —— $ - _ _ ;.. „ armor �� I r —— — 1 �,.r ales L -__- = I\ DOFOMRIeOJE'.:. ... :<_J ---_ .. ... ... .. REP .: i� T-1e J I� - I I ri W/MmEReBI .. .. o �� � 4q eeYee : N W Ti1BIW - ... ... ... :.. I 0 � - I (V/WL7m � I I I Ni287 AYIIeNaB �' 000R N .. .. .. .. .. .. —————— AIOFFe91 �ANfojffleo ... - .. .... _- .... .. TwImM.: TYrlial TY/I88ID - .:. ulv L.i i ---- I $ LI IJ e xKr �� wMia 11 � . e�. .. rd M e e REMOD: REMOD.. _ l .. REMOD. i REMOD. ll 1.GARAGE � I KITCHE _ I I DINT_ LIVING 0 $ .. .. .. .. .. rrd .. .. ... ... .. . .. - - - .. .... .. .... ... ::: Q I AIILTEIn .. .. i ... ` a+oamN+l Root : l I RANGE �� relate ANOfiIt®1 avc� RO OM oU.rme vw _ __ SECOND FLOOR PLAN - - -I '� I I �11 AN061®1 -- - I ed I I I I ® R Fi ,w� Td ---LL -- ,I N. FOYER ' ... .. ... !Rare OILDOORpJQ1AKY) ee.?w0JLDQOR@�RY) ... .. _ „"" _ k --- - ro H . (REIBE QAIC . . QORe,....:.- OORMERA,014 ... ..... ..... � AwsRe ei e'h AN091,FN APRON! WIAHOERSEN Mmame\. _ . C9 AS POR ri A8 ed. Led ed rd eQ 78Wq IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE SA(USE ET114ER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 1021r1(MINIMUM PRESCRUMVE INSULATION a FENESTRATION REQUIREMENTS FIRST FLOOR PLAN PERraIRA,IeN eRna"rt cEtaro WnoomlAonwAu RnoR eAsoENrwAu eAeeAPNreue aRAYRSPAOEwAu. .�SMOKE DETECTOR IIFACfOfi IFPNCTaR RWAWe R•VALI89 R�AUJE RVNAE R+/AWe RYAUH - 0.35 low m : m ro iora warcQE®I +am p CARBON MONOXIDE DETECTOR EXIST.FIRST FLOOR 1745 S.F. LEGEND: EXIST.GARAGE 523 S.F. NOTES: ®HEAT DETECTOR NEW FIRST FLOOR 141 S.F. d EXISTING WALLS 1.R-YALUES AM MINQAUMS a U-F;A= $AM MAXIMUMS. CONSTRUCTION TO BE REMOVED NEW SECOND FLOOR 454 S.F. �- 2.loftsMENSWl50ONTIN )LISIN AATMSHEATHMONTHEINr�aoRORocreaoa t! NEW CONSTRUCT ION Oj OF THE HOME ORW3cavrnaSuuTIONAT THE INTERIM OF THE BASEMENT WALL ' EXPANDED SUNROOMMIUDROOM 360 S.F. &REFER TO IECC 200➢CHAPTER4 FORALL INSULAT*N a ENERGY REIUIREUNTS - - - . .. IIIEDESIONERSNAILBEHanF MIFANY BC�B NEW ADDITION/REMODELING FOR: �/eORQf` `°" N_ ; — =IT BAY DESIGN.LLC THESE ORAR7NIB PR10Rro8rMif aP SCiALE' DRAWING NO.: 43 BREWSTER ROAD MTNT�EeRAw,Nae CONS" nON 1/4 - 1-0 eM1LSERESPf NSOLEPitl1ECONTeu M ASH PEE,MA 02649 QaN �,"Q"QYQ,a Ne PH.c�o8)2 lass PINARD RESIDENCE NS�. � DATE: FAX(soa)53s-saoa Af 151 WIANNO AVENUE OSTERV E MA � I+ ILL , QOPYmSNT PRaR9CIgN vs/2o 1 1 RErwwooer * RALTESOLTBW1OSN C-1rOP hOH . CVPOIA - C GORRIEFEAMOTOAS' b PAQ4Ta OBV"1 NEW RAIM BOARDS b _� mast.CIYOIY TONPTME=.. b 0' : .• 4 _ 2 sO7WM@ aaa . NEW RID CEDARCAP : P.T.4%essL W/QEAIB! .: aFRa� w/Rm0EVF71T .. NEW FAeCu1 TOPOF MT¢ b NEWRIEWICED GEDATRER 1EW1rGlU. ANCHOR BOLT DETAIL Q Tibll"?BLL 12 SCALE:IM-1 W . NEWMTRUSER �14 ROOF .. - sE001/O FlDOIt . mwl.e' " BOARDS ecAPne .... PIPET FLOOR wDom _ euaaoaR a"m"iloMn wHrEB� REAR ELEVATION m, � Bu1LT-(P CORNER IT f�BEL Na 0[A. rCoNCFWM MIN.EMBED.' MEN.REBAR LENG - ��IMw'� nl �`IJl " (PER BE SSTB16 5/8 50' .. '� : ...... dl ... © - McBiBIf .. WpOON " - SSTB20 5/8 �� � 58' .. :.:.I SSTB24.. 9/B 66' -.. FOOIOIllrO NN�is - .. .. .. I .. .. .. ... .-.. SSTB28" 7/8 74• ... .. ::. NFLOW HBaHro m a . .. SSTB34 7/B 82'. .. .: VEIDUTM0 . ."41 .. .HBO HOLDOVN SBI.30 1' 96' '.r.' .: sA1�TTT MEWel�i001 .. .. B . ..' CS16 STR .. ." __I I ANOTE�Oi REBAR TO BE CENTERED ON HILOOVM ————————————— — — HSBIIB TO YATC" ,PER GSM .... ..... .. .. THREADED RO : AMD DATION 3'TO 3:DOWN FROM:T�OPBASEMENT FOUNDATION WALL ... _ I I - WINDW ' :.. .: PER SIMPSON H uFACTURER'S SPECIFICATIONS i -- -- ,— O .. wImON .. .. ... :: :. (PER GSf� .. 1 .. .. .. .. .. .. I I ..... I L-- ---- .. - .. •N .. .. I .: .- .. C .. 04 REBAR SSTB HILDOWN ANCHOR I: I NpEWI`� I — — — — (_ — ——————_——— (. N .. :.: (%.ACE SSTBARROW I CRAWLSPACE -----------�� I 4tegpp"d0141>; .. .y.. • Z ON TOP OF ANCHOR. ¢ I I .. .. I .I.I .. .. .. I.I I CIE.— �I . .. .. a .. .. C. DIAGONAL IN CORNER 3•TO 5 ,.a4 RCSI,LE 4 ., '�.APPL[CATIDIU - I i : WOONGslAO) I I i I NEW SILL PLATE. • - .. - ANCHOR BOLT S57B HOLODVN'ANCHO I I I I I . (PER GSM): .. .°I EDGE DISTANCE - I I I - . . _ .A .. L75•FOR 2%4 WALL I w/MID6PN1.9AOQ10" 'I CRAWLSPACE l�l�.'I' .. .. .. .. .. .. .. . . ... ... MIN REBAR 2.75'FOR 2%6 VALL. A .. A Woom,� 5'M01 I .. ... I AB .. VIE .. - - PLAN W I II I� I 4Tr:" BABEkW ro@mwnoxamDDOVVB: 2x6 WALL VERP1•aOgomON9919nH I FM Rc2LiV " ®Q""m"awlas®�QYI�AN01Rlq.TWONT� 11,1 DWL F[R PD$T OG. 4'D.C. IMST�� OPAVILOPACE I . I4P-1P. .I. 1a�e' . .. FV 1 VRE LEM DOWN OEIBNERBBWAILe sATH DFALaPR RewrouoAT1CN TOPaonaRI I(PER I. PLAN VIEW ELEVATIOII VIEW AOCE980Pk71N0 I d f(Q'. INTO NEW NEW HVAC . NDTE4. - cRAwLBPA� �I:. L ATTACH STUDS AT BUST-UP CORNER TO(ETHF.R V1TH 4 - dl " RUVS OF 16d(0,162.3.5')NAII SAT 6•'8C.FOR z 2ND STORY SHEARVALLS .... - .. .. .. . : .. ._ I...... .. ._1 ii.. $ !S 2.ATTACH STUDS AT-BUILT-UP CORNER TOGETHER WITH EAST. bl 1 PURRsaAEE EAST. I A� (2)fAVS OF 16e(0.162'.3.5')NABS AT 4.D.C. - 4z0 FlD0O�OBID e•.>r, OYBaMO W/HaLtt STALCERED FOR EST STORY SNEARWALLS � - GARAGE ! �' - EXIST. GAMEROOM ( BASEMENT wn I I I T s:ePLaoR�aels WO/DOIY . I II ( .. .. .. .. .: -. : .. > .. . ..�\i i i. Imo: :. I .: EPOC - .. I .. I ..ti I I I LINE . WTaREeUSDFOUNDATM41 - �_ u_iL_=_C— m. v..u•,.... .:. .. Od1.000R OQBf.1Q{'OUR® I .. SO .. �.I B/IBEIQ(T ..nr.•vrGONROURNTEDIN �w$' °r "' iB aC.S"•1 :' :.'' :: .. CO"C.F0101G WIDe�n a .ea REMOD. 0XV ...a b. HALL © omr wmmmwea ININDOIN APRON e I I NEW " `.: m•• •••—^ 4RTAu1Ewe�ffeO11 PORTICO .. m .°•""ri'{mW�cR.. - MOUB"OIDOWNATOUT9W v m.eew�r o,•a�wc s °m.a .. CORMEROPOIMA/EOIetL .. '.. aOROUTREWTHs'ADED ." AB A8 '- ROOFOR"OL000AN - (POOfIC.BAB) 1S ad Vr _ POUMO.WALLS EMPEGRAEUEB ... POST am FOUNILWALLS ../ W/12:YCOlIF FRL - - ""�'"' Sd as T04VIELwvaRAOE Ord .. . 'r. ". .•:'.;' .. .. Ora• ..°•• _ .. a4r Ora O.H. DOOR DETAIL SIDEELEVATBBN FOUNDATION/BASEMENT PLAN NO SCALE TREOEBIOR ONESSILBERE FOUR ffANr . EEF7* UrrBAYDESIGN.LLC NEW ADDITION/REMODELING FOR: ro SCALE: °'�"""°N -- 43 BRE WSTER ROAD .. .. .... VAL ME ICT10N IMBLE OMTH O NT EN TOR 1/4" IN THM DRAWINGS sLLEiORT1EooNTBTr MASHPEE,MA° 02649 pINARD RESIDENCE NTREeE TFDa�m10„EN PH.(508)274-1166 THERE MAGI AMRO1TYsFORTH aeeMRam oP ANr ElaTolm oR awnExa TREE OOAMN APEBRELVPER THE OF FAX(508)539-'9402OF THE BR W DATE 151 WIANNO AVENUE OSTERVILLE, MA °�¢;T�'�°E"°'a""�"� OONSWOFTFE EP GMUI,OIETM 11/9/2011 A3 I .. i I ' V f TS Ir Nh I c ' c ell fu E ✓, �, � I -!� ::80-M F OZ 90 d3SF Fill dJr I v c� I� IOU AS - 1 I c l '} ZONE: • RC (RPOD) „ • f/1 Area (min.) 87,120 SF ' '•` Fronts a (min) 20 � t Width (min) 100' n S I • t Setbacks: l Ave ., Front 20' (Variable Width - Pubfic Way)Side 10' Wtanno a �� Rear 10 � E e of Pa . •� tip'•. ' OVERLAY DISTRICT: ��`• �` AP - Aquifer Protection District ^��/ �� I RPOD - Resource Protection Overlay District _ 6•97 l Fnd `��• �� • ,. FLOOD ZONE: 20-02 . 4 Lawn Zone C 42, LOCATION MAP: Community Panel No. PROPOSED S.A.S. 38 1 a-2,000f 1250001 0016 D `t a O / Jury 2, 1992 ASSESSORS REF.: __ _._ __.-�__.__.__.----•-47,•----�- o � 1, \ Map 140, Parcel 053 \ TH-1 TH-2 - TH-4 \ \ w f4.r 100% t RESERVE 10_04 "' t 7_ p DESIGN DATA SEPTIC NOTES i PROPOSED i 0) 0 / � D-BOX Single Family 1.Location of Utilities Shown on:This Plan Are Apptox.At Least 72 Horns 3 Bedrooms Existing @ 110 GPD Prior to Any Excavation For This Project the Contractor Shall Make 2 3 N ! +2 Potential Bedrooms®110 GPD the Required Notification to Dig Safe(148&344-7233). Owe tk i f No Garbage Grinder 2.The Contractor is Required to Secure Appropriate Permits From Town .X t' PROPOSED 1 Total Daily Flow-550 GPD Agencies For Construction Defined by Ibis Plan /�j� f SEP 77C TANK W 1 w Use a 1500 Gal Septic Took 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall e ` Cora 1 ' Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to ' LEACHING AREA Assure watertightness. In General,Water Lines Shall be Constructed in o 7• 1 Coordination With COMM Water,and Shall be m mnx Accmd � e 550 GPD/0.74(LIAR)=743 SF Required With 248 CMR 1.00-7.00&310 CMR 15.00. -38 ` PX1 S TING # 151 Of 1, Sidewall a 2(12'-10"+42')T-219 SF 4.A Minimum of 9"of Covet is Required for All Components. err TO BE 1 5 t f 1 Bottom Area a Structures x42)-539 SF S.All Structs Buried Three Feet or More or Subject a- y w/ 1 O 759 SF Total Provided co ryDwelling to Vehicular Traffic to be H-20 Loading his the Enginoec's ABANDONED Q Recommendation that H-20 Always be Used c` (> :b., OR REMOVEDFF-40'2' LEACHING CHAMBER DESIGN 6.Install Watertight Risers and Covers to Within 6"ofFinishedGrade \c to O 1 11 o Over Septic Tank Net and Outlet,D-Box,and One Chamber. 2•v_ap tp 1 / J All Pipes to be Sche&*40.Use leB to ... 4-500 Gal.Leaching Chambers in a 7.Septic System to be Installed in Accordance With 310 CMR 15.00& O 1 1 Lawn 12'-10"x 42'Washed Stone Field as Shown. 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable �p H.. ' Cone Con / o Board of Health Regulations. V /'�, Patio / l 8.All Piping to be Sch.40 PVC. � 1 / O 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Mmimum w TBM 0=39.4Wows Sumpof6", o may"• top of patiooe 10.The Separation Distance Between the Septic Tank.and Tank Inlets and '��" i // �jh t Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend a Minimum of 10"Below the Flow Line.Outlet Tees Shaft Ruud 14" 4 Below the Flow Line,and Sball be Eqniped With a Gas Baffle for the Septic V+ Tank,and a Department Approved EfilueutFilter for the Tank i Legend: .,art: ' �,ta'�•L. �.,,. ..•. ,,, �S. �, 1 � � g L► ht Post Cedar Tree / ' ,. � i otArea: ! � ® , Catch,Basin �. ,• 1 , O CB/DH 1 `�,�, '_ 17,540f SF `1 o PERC TEST: 13,030 -O- utility Pole '"� / » ; FFnndT O' PERFORMED BY:IOHN DEA,PE-SULLIVAN ENGINEERING © Gas Gate Deciduous Tree o ! S41'18 00 E SOIL EVALUATORNO.2911 [9 Water Gate P 137.68' i 1 WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE NSF 0., AUGUST 17,2010 OHW--- Overhead tyres Fnd ,►�s� Russell J & Dorothy A Morgan 25- - Elevation Contour Coniferous Tree / 3642/205 TEST HOLE- 1 TEST HOLE-2 W Underground Utility EL.38.0 EL.3" vtisriw:n:{?�iiiasrii:itivii:}+si�isrrnii•Yvxti»i'rnix?rdrrN:ti :•robin:•rr".i•ii'ivrisr."r.iiria:•ir«�k?v'r::itii:Tr.i'ri'r:r".ri.Gwi::v :«:::•rraavr«crrr•«ri:yid?tii'rri:ri'iiiii'rRivi?i ?:vti.itiviv»tinnuxr:«tx4::N«�ad��:iNaarNN:::::hrurr:.v::ru •n:.r.::v«rv:rr.::•arr.::::ra•«v veax:•r.»a::•rsrvr«r«urN «ttxxran:•N«x•:v«avaasr«• •vwar:rrnxru.:xxr«•r.::vN« ish•::•«vti:Ax« R:•rr.r"r.ra....rr..^.s....N.:.a.. lgryti •:JSirh:i:.1N:C:.4Ar'.M!:.:'::::OCrt.rt:R:ra{iv xl•::?•u1•:a.:Sr:Yxi?' 65 1S"Ntir.latY'vura':w::h{a'V::ttr».:«i;{::h7i::�rJA tNr5 xat Xn;hvY{NNt.«pr�haN'vt:r.r:1T».:•.i?{II.fvi:aY::trr Yr:NivN.::.»x%r»:::::Li�:rVa.Ys'a.Sr•,«t�r�S'«.'Atia:li�NrNNhE{« --------------- IrrN:•VItS❖.aV..aK.«5....hY.N}Vlr.'Slt:a:t:t}NNrr«r.:ht:'«tt Nr«L:36.g ��. \• »JATN.i??td »lPsF?Fi�r •k 4 .....:air :?}ii} vav�v ir•:'IR�•''Fiil9fr�4r?'1C�.Y"'M'tr i:i?^}+s v»'r '•?V:•l,:VSYr:«'••• lit•.AV:«5'«rV t.55::VN«LttW:lt •'t t• ••.....VhriVt.. ';;,•lJW:S{'»'hww",:.V.t.•l hSr:AStrN:rNt��htSV.'trttr^»t�tJ i Y.':•:':1^�fl»tit: tt•..t.N.t155rN.Yt f.'.''r:. r' YL':'�i?tt VV - 13"Y.tr.W:«�:t::«:WL:S.^.�,r�:�,.�y� r•N:.rh...... N:• " ••:r::«•t.::V.t rNtl t•Nt:::•.tJ.'.'«t5r t«r:: Ys.:•r«r::ara:r::«:::.aiIX�LRl�ti aSL::h:•:::.r::::«??3 .3 33 ::.v..«r::«•r i :•:N::::«.tr?N::«•353 C LAYER 2.5Y 5/6 C LAYER 23Y 5/6 FF 4*0 Perforated PVC LIGHT OLIVE BROWN LIGHT OLIVE BROWN See Note 6 (t)p.) Inspection Port W/Screw MED.SAND MED.SAND F.G. EL. 38 0 F. 45" PERC TEST 34.3 G. EL 38 0 Cap Placed Vert Down Into Stone To Sobol Below Accle 25 GALLONS IN 6 MIN.30 SEC. Flow Equilizers FFInshheed Gradoe Within 3" of 120" 28 132" PERC RATE<2 M MAN TAR-0.74 27.0 a.. 36. !' As Required F7nlsh Grade NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED installer To TEST HOLE-3 TEST HOLE-4 frm Prior To y Mork Septticc elan °- o-:eox ss �c E+ 35.40 "M� Compacted Fu► Filter EL.38.0 EL.39.0 And Or •••tr.:t•5•tN«rNatV::::::«r.rAN«tl:'«JVa'.:«Vh att:'N:aCY:«r«:5l'R«:r:«»1•.V::«rN.S:ttrrth:«r:«V. hr:N:aRVN.•.•x rvNr.:rrr.::r::a... : . rm r}Sri«rvavrr:«y}err:N;xsyrx.••.,wNmvr«v yva:•?::::N.»iv:nv.;•a ace«:5,fr iv.........rth'0� _ •'rr?i r«rrrh r.ar:s uu•tii:ti?i$:i:r:iv.•i"is•»:iii::r.5: r stir SNrrtx Nsr :riiN:n"v»tii Nt N r s: EL, Leach%? 1�" 112» ':?V:«ivN ur«+.«aaarrts Z�jvN.:r:.•rx::tNrv«vh:wtai: :rv«us ar:N«r:stt ran. «:•v r: «�1vt t: (J •:tiv::nwN«vvu::r.::mace.•r:: aK�i«rtnrv:•.......:vN«v. uwansw«var«u:::v:«vrat q;ti::»:;:? { :�::ji?i»SPea Stone tJ»tV»tt?V:»:t t»frlYtit'Vl ....... i•»;Jh':J?'tr t».ir::^»YNf»?t t:»»'7lh5TW«R^VA:A'»t?{{flCA?iY»hLVNdr:art,K'Ytt:V.trNt,v W. To BeBa' Installed (7n (.i)anlber.�� ' w ' 13" Naarr.«nvhxr}nN�sy4Na5svN«w:Na»rrsr..:v::«?vrx:«:rr.;36.9 1l"r.::rxa�::xaxvhrvm:a:5v:awvr urarvr.»vatv:.v...... 37.1 Stable Cor"pac ed Base Im 3�4 - 1 1�2 LEACHING ::r,: ::•::i: hrrv:::«:wa::• •iarhsvvrh:•rarav: :rv:«.r._........ ...tv::::::::«:::::u .:.vr.::::autv:::« OF ^fr»s;:i:::::iit?:.................... Double Washed :::v:::«:r«:rx::r«a•x«.:««.5 :•.iii:.rrr::a::::•v. r::hs:uvhx•«r.:•::... : ..«^.«4ar.::t•«vr:rv:«r `�N M Bedding"T"s ...t.... :N:•. ::rW.r .'.::'«^rl :«Vt«55•:.:N::rt. •tlN:t••1aJ t^ �S "• •it'r •«•• R s CHAMBER stone 9 Inspection..�' 't..h. �i?inii:• ��/t:5r�ari. rs v'aAvti»� ect on Port . .«i...... .:'•«. :•a ti?? sH7�'�.' .t SP : :t!:•:iSx�.lh.�.SSt+. +�75�! ...« :ti• ?x::a:•n::.:w«:rar:rr:••r••: •..•••v •••.vr•^Nx«rNa^.:r. "r••vw:gtsr»«xvN«ar•v s•r •••v••••••?.:grlux•«rr.•a•«jvr« O 'v "..:«:::•:a:v«v«::::•a:«s• r v:::::::«i:i ?irirh«w:a:r:rav«::•• E. u.Nr»v:«r:::Lv:N. �� 'S' dC Baffel3 tii Of .....I `;�.«'%..................353 31 ..�..................«.....35.4 0 J N C. G :::tr�� �1 � ?a�.':ti?4�:�� N ui 32 ...................... »«.« ........................... as Per Title 5 :::. .. . C LAYER 2.5Y 5/6 C LAYER 2.5Y 5/6 EA iiG lill •''(IF(t#1Ci[fkh0:}!tear ; LIGHT OLIVE BROWN LIGHT OLIVE BROWN o` 1 - _ _ I 4' - f0" I 16S 12'-10' PER MED.SAND � 34.8 G ��� �� Estimated High Groundwater r 25 GALLONS INSMIN. ' T� DEVELOPED PROFILE OF SYSTEM Per T.O.B. Groundwater Maps CROSS SECTION OF CHAMBER 120" 28.0 120" PERC RATE<2MIN/IN TARs0.74) 28.0 FE��\� NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED DEVELOPED SITE PASSED NOT TO SCALE NOT TO SCALE TITLE: Site Plan PREPARED BY PREPARED FOR: NOTES: ` CapeSury 1.) The property line information shown hereon was vy Proposed Septic System Sullivan Engineering, Inc. Patricia Gavel compiled from available record information. PO Box 659 7 Parker Road nl At Osterville, MA 02655 Osterville MA 02655 151 Wranno Avenue 2.) The topographic information was obtained by an -1 i tA,a n , l (508)428-3344 (508)428-9s17 fax (508) 420-3994 (508) 420-5995 fox Oster Yllle, MA 02655 on the ground survey performed on or between 1 51 Y Y'al /no Avenue capesurvOcapecod.net 021AUG & 121AUG110. Barnstable (Osterville) , Mass. 3.) The datum used approximate Mean Sea Level Draft JOD Field: RRL/MML 20 0 10 20 40 80 based on Barnstable GIS mapping. DATE' August 31, 2010 SCALE: 1„ = 20� Review. PS Comp.: RRL Project: 30019 Project: C663